# GENE POLKS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GENE POLKS PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912918558
- **Authorized official:** BRINSON POLK RPH (OWNER)
- **Authorized official phone:** (601) 849-2533

## Contact information

- **Practice address:** 406 SIMPSON HIGHWAY 149, MAGEE, MS 39111-3416
- **Practice address phone:** (601) 849-2532
- **Practice address fax:** (601) 849-2558
- **Mailing address:** 406 SIMPSON HIGHWAY 149, MAGEE, MS 39111-3416
- **Mailing address phone:** (601) 849-2532
- **Mailing address fax:** (601) 849-2558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 00445/1.1 | MS | Yes |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 12/01/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0033740 | — | MS |
| 01 | — | 2043293 | PK | — |